Lic assignment form no 3855 download-2026

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  1. Click ‘Get Form’ to open the lic assignment form no 3855 in the editor.
  2. Begin by entering your personal details in the designated fields, including your name, address, and policy number. Ensure all information is accurate to avoid processing delays.
  3. Next, specify the appointee's details. This includes their full name and relationship to you. Make sure this information is clear as it determines who will receive the benefits of the policy.
  4. Review the appointment type you wish to select: Conditional or Absolute. Each has different implications for ownership and rights, so choose wisely based on your needs.
  5. Once all fields are filled out correctly, utilize the signing tool to add your electronic signature. This step is crucial for validating the form.
  6. Finally, click ‘Finish’ to save your completed form. You can then print, share, or download it directly from our platform.

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Policy Number. UHID NO.of Health Card. Name of the TPA. SEX ( M / F) : Date of Birth: Details of past history of. Date of disease/ illness/ injury first detected. Declaration by the policyholder / Claimant. I hereby declare that the above information is true correct to the best of my knowledge and belief.
Step 1: Visit LICs official website. Step 2: Sign in using your credentials. Step 3: Download the Surrender Discharge Voucher (LIC Form No. 5074).
(2) The full name, and age, of the Assignee must be stated. (3) The actual consideration for the assignment received from the assignee should be written in words, not in figures. (4) The Assignor must affix his signature to the Assignment in the presence of a witness other than the Assignee.
The assignment form along with the policy should be duly signed by the assignor, assignee a witness. Execute a separate assignment deed in this case stamp duty needs to be paid. The assignment will be effective when the insurer only if it is registered with the insurer in their records.
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